NPIMap

Organization Active NPI

DDM Radiology PC

  • Diagnostic Radiology Physician
  • Lexington, MA
National Provider Identifier
1255739454
Registry record updated Dec 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51966 Issued in MA
Legal business name
DDM RADIOLOGY PC
Practice address
18 Holmes Rd
Lexington, MA 02420-1917
Phone
(781) 258-0197
Fax
(781) 862-5946
NPI assigned
Dec 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sanford Smoot, MD
Title
President
Phone
(781) 258-0197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 51966 MA Primary

Addresses

Primary practice location

18 Holmes Rd
Lexington, MA 02420-1917

Mailing address

18 Holmes Rd
Lexington, MA 02420-1917
Phone (781) 258-0197

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419120000000",
    "number": "1255739454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HOLMES RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201917",
            "telephone_number": "781-258-0197",
            "fax_number": "781-862-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HOLMES RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201917",
            "telephone_number": "781-258-0197",
            "fax_number": "781-862-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDM RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-21",
        "last_updated": "2014-12-21",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-258-0197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "51966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.